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ankylosing spondylitis - 'know anything about it?

Apparently DH has it. He's had back issues ever since I've known him (10+ years). Sometimes it's so bad he can hardly walk (this is rare) and other times it hardly bothers him at all, but usually he just feels stiff and at least somewhat uncomfortable. We've always made jokes about his spine being a steel rod because he's so inflexible, but with this disease diagnosis, it's really not that funny anymore. If it progresses he could really be debilitated later in life and that prospect is very scary, of course.
 
One of the treatments he is going to explore uses a TNF inhibitor (may not be getting the terminology right--this is all new). Does anyone have any experience with this? Here is what I found on the Spondylitis Associations website: 
 
The Tumor-Necrosis-Factor alpha (TNF-a) blockers are biologic medications that have shown great promise in treating ankylosing spondylitis. They have been shown to be highly effective in treating not only the arthritis of the joints but the spinal arthritis associated with ankylosing spondylitis and related diseases.
The most serious known side effect of the TNF blockers is an increased frequency of infections, especially tuberculosis. Thus, a TB test is usually required before starting any of the TNF therapies. A very rare possible complication is increased frequency of cancer, especially of the blood (leukemia) or of the lymphatic system (lymphoma) 
 
The bit about cancer is pretty darn scary. Other than the obvious, any questions DH should make sure to ask his doctor about this? Any and all advice is welcome. Thanks! 

Re: ankylosing spondylitis - 'know anything about it?

  • I know someone who has it, but I'm afraid I don't know very much about the condition. All I know is that he's 27 years old and collects Social Security, though he seems to be fine honestly.

    I'm sorry you're dealing with this Sad

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  • TNF inhibitors are widely used for rheumatoid arthritis, ulcerative colitis and psoriasis bu blocking the body's haywire autoimmune response (to put it in very non-medical terms). AS is much less common than these other conditions, but is also an autoimmune disorder.

    Because TNF inhibitors downregulate the body's immune system, there is the potential for the development of certain cancers. Cancer being an immune-modulated disease itself. There is also an increased risk of certain infections (TB, fungal infections, etc).

    There is more than a decade of experience with these drugs. You may have more luck finding someone with personal experience if you inquire about one of the more prevalent disease states.

  • I am sorry (:
    "HOW many US citizens and ranchers have been decapitated in Arizona by roving bands of paperless aliens, and how will a requirement that I have papers on me make that not happen?"courtesy of SueSue
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